· United Arab Emirates edition: online, self-paced courses with certificate

Consent, privacy and communication

Open Disclosure: Honest Communication When Care Goes Wrong

Open disclosure training for UAE healthcare professionals: the conversation after harm, the DHA duty of candour and sentinel events

  • 2hours (estimated)
  • 11sections
  • 20final questions
  • 80%pass mark
  • PDFcertificate
  • Online and self-paced, on any device
  • Reflective account template
  • Knowledge checks in every section
  • Instant certificate of completion
  • A complaint says you did not tell the patient or family what had gone wrong
  • You were involved in a sentinel event or serious incident and disclosure is still pending
  • You worry that saying sorry will be treated as admitting a medical error

Written for UAE licensingUpdated 2 November 2026

What you will learn

  • Explain what open disclosure and candour mean in practice and how talking to the patient differs from reporting an incident or notifying the authority.
  • Trace the federal duties to keep patients informed, and the Patient Charter rights, that make honest disclosure an expectation in every emirate.
  • Find the disclosure rules of your own authority, whether DHA, DOH, MOHAP, SHA or Dubai Healthcare City, and note how they differ.
  • Judge how much to disclose for harm events, sentinel events, near misses and errors found late or made by others.
  • Organise a disclosure meeting, including who speaks, who else attends, when and where it happens and what facts to bring.
  • Lead the conversation in everyday language, using a trained interpreter when needed and giving families an appropriate role.
  • Say sorry sincerely and share what is known without speculating about blame, cause or legal liability.
  • Write an accurate note of the disclosure, label any late entry and keep the promised follow-up going until closure.
  • Tailor disclosure for children, adults lacking capacity, grieving relatives and incidents involving several patients.
  • Support colleagues involved in harm and show insight and change where an earlier disclosure did not go well.

Who this course is for

Licensed doctors, dentists, nurses, midwives, pharmacists and allied health professionals across the UAE, team leaders who support disclosure, and anyone looking back on harm that was not explained to the patient as it should have been.

After a concern

Structured learning and a written reflection to show insight after a complaint, an investigation or a licensing authority inquiry.

Routine CPD

Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.

About this course

Most clinicians agree that patients should be told when care has harmed them. Fewer feel ready to lead that conversation, especially with a frightened family, through an interpreter, while an incident review is still under way and a complaint may follow. This course is about doing it well. It explains the duty of candour in the DHA Standards for Code of Ethics and Professional Conduct, the open disclosure requirements attached to sentinel events in the DHA standard for sentinel event notification and management, the disclosure process facilities must have under the DOH Incident Reporting and Management Standard, and the federal duties to inform patients in Federal Decree-Law No. (4) of 2016 and its Executive Regulations.

From there it becomes practical. You will decide when disclosure is needed, including for near misses and errors you discover late or that someone else made; plan who leads and who attends; structure the conversation in plain words; work with a professional interpreter and with families who expect to be involved; and write a disclosure note that will make sense to anyone who reads it later. One section deals with a question many UAE clinicians worry about: why a sincere apology and an honest account of the facts are not the same as a Medical Liability Committee finding that a medical error occurred.

The course is for doctors, dentists, nurses, midwives, pharmacists and allied health staff in government and private settings in every emirate. It is particularly relevant if a complaint, facility review or licensing inquiry has questioned how, or whether, you told a patient what happened. The closing section on just culture, staff support, insight and remediation helps you show what you have learned about candour and how your practice has changed, without promising anything about the outcome.

How this course helps after a concern

After harm, committees and licensing authorities look closely at what you did next. A delayed, vague or missing explanation to the patient is often read as a lack of insight, and in Dubai candour is an explicit expectation of the code of ethics. This course helps you show that you understand when disclosure was needed, what a good conversation contains, why an apology is not an admission of medical error, and how you have changed the way you prepare, hold and record these conversations.

The certificate records two hours (estimated) on open disclosure and the date you completed them. The reflective account, built from structured prompts and a copy-and-complete template, lets you examine one disclosure that went well or badly and set out a personal plan. Keep identifying details out, and pair the reflection with evidence such as a disclosure note template your team now uses. Take advice from your insurer before responding to a formal complaint or claim.

What you will have at the end

  • A certificate of completion showing the course title, 2 hours (estimated) and your completion date
  • A reflective account on one disclosure, using structured prompts and a copy-and-complete template
  • A five-step structure and tested wording for the disclosure conversation itself
  • A checklist of what a disclosure note should contain and where it should be recorded
  • A personal follow-up plan for sharing review findings and closing the disclosure properly

A scenario from UAE practice

A wrong-dose infusion and a family told only that he was unwell

Consider, for illustration, a nurse and a consultant on a medical ward in a private Dubai hospital. An infusion pump is programmed at ten times the prescribed rate, and the patient becomes unwell before the error is caught. The incident is reported internally. When the family asks why their father was moved to intensive care, they are told only that his condition changed overnight.

Two days later a junior colleague mentions the pump to the family. They feel deceived and complain to the DHA, saying the harm was hidden. The review now has two concerns, not one: the medication error itself, and a failure to disclose that the code of ethics and the sentinel events standard expect. The consultant had worried that saying sorry would be treated as admitting a medical error.

The course addresses each part. Section 3 helps decide what level of disclosure an event needs. Section 4 covers who should lead, when, what to say and how to respond to anger. Section 5 explains who decides whether a medical error occurred and why an apology is not an admission. Section 6 shows how to record the conversation and keep the promise to follow up.

Illustrative example, not a real case.

Is this course right for you?

  • A complaint says you did not tell the patient or family what had gone wrong
  • You were involved in a sentinel event or serious incident and disclosure is still pending
  • You worry that saying sorry will be treated as admitting a medical error
  • Relatives have asked you to keep the harm from the patient and you are unsure what to do
  • You lead a team and want a consistent approach to disclosure meetings and notes
  • You are a pharmacist, dentist or laboratory professional who has discovered an error

Course details

Learning time
2 hours (estimated), covering the lessons, section quizzes, reflective writing and the final test
Standards covered
DHA Standards for Code of Ethics and Professional Conduct (duty of candour); DHA Standards for Sentinel Events Notification and Management; DOH Incident Reporting and Management Standard (version 2); Federal Decree-Law No. (4) of 2016 on Medical Liability and Cabinet Resolution No. (40) of 2019; Patient's Rights and Responsibilities Charter; MOHAP, SHA and Dubai Healthcare City requirements
Format
Online and self-paced on any device: lessons with knowledge checks, UAE case studies and reflection prompts, with 12 months' access
Assessment
20 scenario-based questions, 80% to pass (16 of 20)
Outcome
Fitness To Practice certificate of completion showing the course title, CPD hours and date, plus a structured reflective account for your portfolio

Course curriculum

11 sections · 22 lessons · 2 hours (estimated) · 20-question final assessment

  1. 1Being open with patients after harm3 lessons
    • Defining open disclosure in the UAE context
    • The case for openness: patient needs, confidence and legal duty
    • Workplace obstacles that stop clinicians being open
  2. 2Disclosure requirements in each emirate3 lessons
    • DHA ethics code and sentinel event standard in Dubai
    • Disclosure duties outside Dubai, including DHCC
    • How disclosure fits with reporting, reviews and notifications
  3. 3Deciding when to tell the patient2 lessons
    • Which harms, complications and severity levels trigger disclosure
    • Near misses, errors found later and mistakes by others
  4. 4The disclosure meeting: planning and delivery3 lessons
    • Getting ready to tell a patient what happened
    • Structuring the meeting and choosing your words
    • Interpreters, relatives and cultural sensitivity
  5. 5Saying sorry and legal liability2 lessons
    • Why saying sorry does not admit an error
    • Complaints, claims or inquiries after disclosure
  6. 6Recording what was said and keeping in touch2 lessons
    • Writing up the disclosure in the record
    • Following through on commitments made
  7. 7Openness in harder circumstances2 lessons
    • Minors, patients without capacity and grieving relatives
    • Openness in every profession and care setting
  8. 8Fair culture, staff support and reflective learning2 lessons
    • A fair culture and help for clinicians involved in harm
    • Openness, insight and corrective action
  9. 9Core messages in brief1 lesson
    • Core messages in brief
  10. 10Key sources and wider reading1 lesson
    • Key sources and wider reading
  11. 11Reflective piece for your CPD portfolio1 lesson
    • Reflective piece for your CPD portfolio

Section by section

  1. Being open with patients after harmDefines open disclosure and the duty of candour, what patients and families need after harm, the federal duty to inform, and the personal, team and organisational barriers that cause disclosures to be delayed, diluted or avoided.
  2. Disclosure requirements in each emirateSets out the DHA code of ethics and sentinel events standard, the DOH incident reporting standard and the position under MOHAP, SHA and DHCR, then shows how disclosure runs alongside reporting, notification and the facility review.
  3. Deciding when to tell the patientUses incident severity levels to decide what level of disclosure an event needs, separates known complications from errors, and works through the grey areas of near misses, harm discovered months later and errors made by someone else.
  4. The disclosure meeting: planning and deliveryTeaches who should lead and when and where to meet, a five-step conversation structure with words that help and words that harm, responding to emotion, and handling interpreters, family requests and cultural respect.
  5. Saying sorry and legal liabilityExplains who decides whether a medical error occurred under UAE law, why a sincere apology and a factual account are not an admission, and the actions after disclosure that turn a manageable complaint into a serious one.
  6. Recording what was said and keeping in touchCovers what a disclosure note should contain, whether it belongs in the record or the incident system, late entries, and how to plan follow-up meetings, share review findings and close the process when contact ends.
  7. Openness in harder circumstancesShows who receives disclosure for children, adults lacking capacity and patients who have died, and how candour works in pharmacy, dental, laboratory and telehealth settings and in events affecting several patients.
  8. Fair culture, staff support and reflective learningExplains just culture in UAE standards and the effect of harm on the professionals involved, how to support a colleague, and how candour links to the insight and remedial measures decision-makers look for.
  9. Core messages in briefSummarises the essentials of honest communication after harm in a short checklist: tell the patient promptly, say sorry, listen, record the conversation, keep your follow-up promises and show what will change.
  10. Key sources and wider readingLists the federal legislation and the DHA, DOH and MOHAP documents used in the course, with a reminder to check the current version and that the Arabic text of federal law prevails.
  11. Reflective piece for your CPD portfolioProvides structured prompts, a copy-and-complete template and a final self-check so you can write a reflection on disclosure for your portfolio without identifying the patient, a colleague or the facility.

Assessment and certificate

Final assessment

20scenario-based questions

  • Pass mark 80%: 16 correct out of 20
  • Knowledge checks in each section as you go
  • Tests whether you can apply the standards, not recall a page
  • Not passed yet? Review the sections and retake it

Certificate of completion

A certificate of completion for your learning portfolio.

  • Your name, the course title and the estimated learning time (record the time you actually spend)
  • Completion date and a unique certificate ID that can be verified
  • Ready to download as a PDF as soon as you complete the course

Your reflective account

The course includes a structured reflective account template: guided prompts to record what you learned, how you will apply it and how the change will show in your practice. It gives you written evidence of insight after a concern, and a ready record for your CPD portfolio.

Write it in your own words and leave out anything that could identify a patient, a colleague or a case. If you have an open complaint or case, talk to your adviser before reflecting on it in writing.

Questions about this course

Is there a duty of candour for healthcare professionals in the UAE?

In Dubai, yes: the DHA Standards for Code of Ethics and Professional Conduct expect professionals to disclose promptly to the patient when harm occurs and to start remedial action. Elsewhere the expectation comes from the federal duty to keep patients informed, the Patient's Rights and Responsibilities Charter and the incident standards of each authority. Section 2 sets this out authority by authority.

Does saying sorry mean I am admitting a medical error?

No. Whether a medical error occurred is decided by a Medical Liability Committee under Federal Decree-Law No. (4) of 2016, not by what you say at the bedside. The course shows how to express regret and explain known facts without guessing at causes or blaming anyone, and suggests involving your facility and insurer early when a claim seems likely.

How soon should I speak to the patient?

As soon as the patient is clinically stable and ready, and usually well before any review is finished. A first conversation can honestly say what is not yet known and when the patient will hear more. The course explains how this fits with sentinel event notification deadlines in Dubai and Abu Dhabi, which are separate duties owed to the authority.

Relatives want the harm kept from the patient. What then?

Families in the UAE often expect to protect a loved one from bad news. Federal law lets you inform the family where telling the patient directly is not appropriate, yet an adult with capacity generally has a right to information about their own treatment. Lesson 7.1 and Section 4 show how to listen to relatives, check what the patient wants to know and plan the conversation together.

I have a complaint that says I did not tell the patient what happened. Can this course help?

It can help you understand what was expected, reflect honestly on why disclosure did not happen as it should, and set out what you now do differently. The final section covers insight and remediation after a failure of candour. Have your facility, insurer or lawyer review any written statement before it is submitted.

Is it relevant to pharmacists and allied health staff?

Yes. Dispensing errors, imaging and laboratory mistakes and therapy incidents all raise disclosure questions, and Section 7 looks at how disclosure works in pharmacies, diagnostic services and community settings as well as hospital wards.

What is the time commitment, and what about CPD?

Plan on roughly 2 hours, studied at your own pace, followed by a 20-question scenario-based assessment with an 80% pass mark. You receive a certificate showing 2 hours (estimated). Your licensing authority decides how any learning counts towards your CPD or a requirement it has set.

How this course was built

Official sources only

Every legal and regulatory point comes from primary sources: UAE federal health laws, the licensing authorities' codes, standards and policies, and official government guidance. Anything we cannot confirm is left out.

Original, edition by edition

Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.

Reviewed when rules change

When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.

Page updated 2 November 2026

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